Pain control with punch grafting in ulcers with underlying arteriolosclerosis.

Objective: Martorell hypertensive ischaemic ulcers are often misdiagnosed and can be a clinical and therapeutic challenge. Controversy exists regarding both their underlying triggers and the type of treatment that should be carried out. This study was designed to compare the effectiveness of punch grafting and conventional therapy in pain reduction.

Early and Sequential Punch Grafting in the Spectrum of Arteriolopathy Ulcers in the Elderly.

Introduction: Posttraumatic ulcers secondary to age-related arteriolosclerosis may be included in the clinic-histopathological spectrum of the Martorell hypertensive ischemic ulcer. Histologically, they both present occlusive subcutaneous arteriolosclerosis. Considering these similarities, they could benefit from the same treatment.

Punch grafting for pain reduction in hard-to-heal ulcers.

Objective: Punch-grafting is a traditional technique to enhance wound healing, which has been associated with significant pain reduction. There are few studies measuring pain reduction after punch grafting, our study was designed to measure this outcome.

Method: Patients with hard-to-heal wounds treated with punch grafting were included in a single centre prospective study.

Martorell Hypertensive Ischemic Ulcer Successfully Treated With Punch Skin Grafting.

Martorell hypertensive ischemic ulcer can be a real clinical and therapeutic challenge. Controversy exists regarding both the underlying triggers of the disease and the type of treatment that should be established. Early skin grafting has been suggested as an effective treatment to enhance pain reduction and wound healing in these patients.